NPIMap

Organization Active NPI

Loren S Cook DMD PLLC

Doing business as Lawrence J. Kyle DDS, Inc.

  • General Practice Dentistry
  • Blacksburg, VA
National Provider Identifier
1346263613
Registry record updated Dec 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401412480 Issued in VA
Legal business name
LOREN S COOK DMD PLLC
Doing business as
Lawrence J. Kyle DDS, Inc.
Practice address
611 S Main Street
Ste a
Blacksburg, VA 24060-5208
Phone
(540) 951-8383
Fax
(540) 953-5030
NPI assigned
Jul 26, 2006
Last updated
Dec 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Loren S. Cook, DMDNPI 1295961811
Title
Dentist/Owner/President
Phone
(540) 951-8383

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 401006217 VA
General Practice Dentistry 1223G0001X 0401006217 VA
General Practice Dentistry 1223G0001X 0401412653 VA
General Practice Dentistry 1223G0001X 0401412480 VA Primary

Addresses

Primary practice location

611 S Main Street
Ste a
Blacksburg, VA 24060-5208

Mailing address

611 S Main Street
Ste a
Blacksburg, VA 24060-5208
Phone (540) 951-8383

Other identifiers 9

IdentifierTypeStateIssuer
229986OtherVAANTHEM BLUE CROSS BLUE SH
6217OtherVADELTA DENTAL
0494067OtherVAUNITED CONCORDIA
01321MedicaidVA
007820861MedicaidVA
013321OtherVADORAL DENTAL
001494067OtherUNITED CONCORDIA
9220900MedicaidVA
9225146MedicaidVA

Other names 1

  • Lawrence J. Kyle DDS, Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

611 S Main St
Ste A
Blacksburg, VA 24060
Phone (540) 951-8383

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324598400000",
    "number": "1346263613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 S MAIN STREET",
            "address_2": "STE A",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240605208",
            "telephone_number": "540-951-8383",
            "fax_number": "540-953-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 S MAIN STREET",
            "address_2": "STE A",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240605208",
            "telephone_number": "540-951-8383",
            "fax_number": "540-953-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOREN S COOK DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2011-12-23",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "LOREN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "DENTIST/OWNER/PRESIDENT",
        "authorized_official_telephone_number": "540-951-8383",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "401006217",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401006217",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401412653",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401412480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SH",
            "identifier": "229986",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "6217",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "0494067",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01321",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007820861",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL DENTAL",
            "identifier": "013321",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "001494067",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9220900",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9225146",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lawrence J. Kyle DDS, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blacksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.